NPI age
12 years
Enumerated 2013-11-08
Across 205 active clinic/center providers in Georgia.
5 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00012016A | |
| 05 (GA) | 00012016B |
Multi-provider organization. 5 individual providers on file at this primary address.
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